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ALLINA HEALTH FARMINGTON CLINIC
NPI 1003112822
Family Medicine in Farmington, MN

Active since January 27, 2011CLIA 24D0398373 · Waiver
21260 CHIPPENDALE AVE W, FARMINGTON, MN 55024(651) 463-7181(651) 241-0829 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Oct 16, 2023, Mar 2, 2023 and 4 more (7 updates tracked since 2018).

About Allina Health Farmington Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLINA HEALTH FARMINGTON CLINIC (NPI 1003112822) is a healthcare organization registered as a family medicine in Farmington, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1003112822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address21260 CHIPPENDALE AVE WFarmington, MN 55024-1427
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Phone(651) 463-7181
Fax(651) 241-0829
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateJanuary 27, 2011
Last NPPES UpdateJanuary 15, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1003112822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
21260 CHIPPENDALE AVE W, Farmington, MN 55024
Open in Google Maps ↗

Other Names 1

Doing Business AsAllina Health Farmington Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0398373

Allina Health Farmington Clinic · Farmington, MN
Active · expires Sep 19, 2026
CLIA Number24D0398373
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorJohn Reinartz
Laboratory Phone(612) 863-0408
Laboratory LocationAllina Health Farmington Clinic21260 Chippendale Ave, Farmington, MN 55024
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Allina Health Farmington Clinic carries, from the Medicare DMEPOS supplier directory.

Allina Health Farmington Clinic

DMEPOS supplier · Farmington, MNOperated by Allina Health System
✔

Accepts Medicare assignment

Allina Health Farmington Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678633
Medicare Participant SinceOctober 1, 1984
Supplier Location21260 Chippendale Ave WFarmington, MN 55024
Phone(651) 463-7181
Provider TypePhysician – General Practice)
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL THORSON MD
Family Medicine
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
DR. LORI L UTECH M.D.
Family Medicine
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
DR. SHERRI SUE OETKEN D.O.
Family Medicine
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
TIMOTHY E SAVAGEAU OD
Optometrist
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
LEO FRANCIS P AVENIDO MD
Family Medicine
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
MACKENZIE MARIE MELLUM PA
Physician Assistant
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
JESSICA ELIZABETH GALLAGHER NP
Nurse Practitioner (Family)
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181
DR. AMANDA MARIE EVERHART M.D.
Family Medicine
21260 CHIPPENDALE AVE W
FARMINGTON, MN 55024
Dakota County (651) 463-7181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1003112822. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Farmington Clinic.

Where is Allina Health System located?

Allina Health System is located at 21260 Chippendale Ave W, Farmington, MN 55024. The listed phone number is (651) 463-7181.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Allina Health System accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Allina Health Farmington Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Allina Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0398373) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from HealthPartners and Medica list Allina Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.